The Supreme Court issued a long-awaited ruling on April 27, 2020, directed at a more than $12 billion challenge related to the temporary risk corridors program established by the Affordable Care Act (the “ACA”). Challenges...more
4/29/2020
/ Affordable Care Act ,
Appropriations Bill ,
Corporate Counsel ,
Court of Federal Claims ,
Damages ,
Government Payments ,
Health Insurance ,
Insurance Industry ,
Land of Lincoln Mutual Health Insurance Co. v. United States ,
Maine Community Health Options v. United States ,
Moda Health Plan Inc. v. United States ,
Reimbursements ,
Remand ,
Repeal ,
Reversal ,
Risk Corridors Statute ,
SCOTUS ,
Tucker Act
CMI, CMMI, and Changing the Consumer Experience in the U.S. and China -
Case Mix Index: Sitting in multiple hospital, payor and physician organization presentations at the J.P. Morgan healthcare conference this year, it is...more
1/17/2020
/ Centers for Medicare & Medicaid Services (CMS) ,
China ,
CMMI ,
Health Care Providers ,
Health Insurance ,
Healthcare Facilities ,
Hospitals ,
Life Sciences ,
Medicaid ,
Medicare ,
Medicare Advantage ,
Outpatient Services ,
Universities ,
Value-Based Care
The Big Cost; Cancer is the Answer; and SDOH Evolves -
The Big Cost: You’re okay today, and then tomorrow you’re not. Life has changed and there’s a new reality. Whether it’s an acute event – an accident, a heart attack, a...more
1/16/2020
/ Affordable Care Act ,
Affordable Housing ,
Cancer ,
Genetic Markers ,
Health Care Providers ,
Health Insurance ,
Hospitals ,
Innovation ,
Medicare ,
Outpatient Services ,
Pharmaceutical Industry ,
Physicians ,
Prescription Drugs ,
Professional Conferences ,
Technology ,
Value-Based Care
If I printed a tee shirt for the 2020 J.P. Morgan Healthcare Conference, what would it say? In past years, it would have been “Big Data,” Analytics, Artificial Intelligence, ACA, Risk, Medicare Advantage or Quality. This...more
1/15/2020
/ Data Management ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Healthcare Costs ,
Hospitals ,
JPMorgan Chase ,
Medicaid ,
Medicare ,
Patients ,
Pharmaceutical Industry ,
Pharmacies ,
Physicians ,
Professional Conferences ,
Value-Based Care
Please Don’t Poke the Baby – Sharing a best practice and talking about taking a local hospital learning and turning it into a systemwide approach, Mark Harrison of Intermountain Healthcare shared the fact that taking fewer...more
1/9/2019
/ Affordable Care Act ,
Cancer ,
Drug Pricing ,
Food Safety ,
Health Care Providers ,
Health Insurance ,
Hospitals ,
Medicaid ,
Partnerships ,
Physicians ,
Public Health ,
Public Safety
San Francisco (January 11, 2018) – The final day of the 2018 JP Morgan Healthcare Conference gave us food for thought about the topic of healthcare navigation, as well as updates on the home health sector. Post-acute has...more
1/15/2018
/ Centers for Medicare & Medicaid Services (CMS) ,
Genesis HealthCare ,
Health Care Providers ,
Health Insurance ,
Healthcare Costs ,
Healthcare Workers ,
Home Health Care ,
Hospitals ,
Humana ,
Joint Venture ,
JPMorgan Chase ,
Medicare ,
Mergers ,
Patients ,
Professional Conferences ,
Self-Insured Health Plans ,
Skilled Nursing Facility ,
Telehealth